{"id":6960,"date":"2025-02-03T11:39:38","date_gmt":"2025-02-03T11:39:38","guid":{"rendered":"https:\/\/healthmedicinet.com\/review\/hmn-copay-program-coupons-more-in-2025-2\/"},"modified":"2025-02-03T11:39:38","modified_gmt":"2025-02-03T11:39:38","slug":"hmn-copay-program-coupons-more-in-2025-2","status":"publish","type":"post","link":"https:\/\/healthmedicinet.com\/review\/hmn-copay-program-coupons-more-in-2025-2\/","title":{"rendered":"HMN: Copay program, coupons &#038; more in 2025"},"content":{"rendered":"<p>\n<br \/>Do you know:  Copay program, coupons &#038; more in 2025<\/p>\n<div id=\"main-content\">\n<div id=\"post-intro\">\n<div id=\"takeaways\">\n<h2>Key takeaways<\/h2>\n<ul>\n<li>\n<p><span style=\"font-weight: 400;\">Nucala is a brand-name biologic medication prescribed to treat severe eosinophilic asthma, as well as chronic rhinosinusitis with nasal polyps, eosinophilic granulomatosis with polyangiitis (EGPA), and hypereosinophilic syndrome (HES).\u00a0<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">Without insurance coverage, Nucala\u2019s list price is $3,689 for a one-month supply.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">Some insurance and Medicare Part D plans may cover Nucala, but coverage varies.\u00a0<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">GSK has a patient assistance program and a copay card that may help certain patients pay for Nucala.  coupons and assistance from nonprofits can also help.\u00a0<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">Nucala doesn\u2019t have a biosimilar yet, but there are some alternative medications that may be more affordable.<\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<section class=\"table-of-contents\">\n<div class=\"anchorLinks\">\n<div class=\"mobile-only\">\n<div class=\"dropdownLists\">\n<div class=\"dropdownBtn\"><span class=\"listsIcon\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/union.svg\" width=\"14\" height=\"20\"\/><\/span><br \/>\n\t\t\t\t\t\t\t<label><\/label><br \/>\n\t\t\t\t\t\t\t<span class=\"downArrow\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/dropDownArrow.svg\" width=\"24\" height=\"24\"\/><br \/>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><span style=\"font-weight: 400;\">The average person takes <\/span><a href=\"https:\/\/www.lung.org\/blog\/how-your-lungs-work\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">17,000 or more breaths per day<\/span><\/a><span style=\"font-weight: 400;\">, often without even thinking about it. So it\u2019s easy to take them for granted. But for people with severe eosinophilic asthma, breathing isn\u2019t always so simple. This type of asthma increases white blood cells called eosinophils, which can cause inflammation in the respiratory system, triggering attacks. One effective treatment is <\/span><span style=\"font-weight: 400;\">Nucala<\/span><span style=\"font-weight: 400;\"> (mepolizumab), an add-on prescription drug that can help reduce asthma symptoms and attacks. It is also prescribed to treat chronic rhinosinusitis with nasal polyps, eosinophilic granulomatosis with polyangiitis, and hypereosinophilic syndrome.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patients only receive this subcutaneous injection once per month, but it can be expensive if you\u2019re paying out of pocket. The good news is there are several ways to save.\u00a0\u00a0<\/span><\/p>\n<h2 id=\"how-much-does-nucala-cost\"><span style=\"font-weight: 400;\">How much does Nucala cost?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Nucala is a <\/span><a href=\"https:\/\/naspnet.org\/wp-content\/uploads\/2019\/08\/What-Is-Specialty-Pharmacy-090718.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">specialty drug<\/span><\/a><span style=\"font-weight: 400;\">\u2014meaning it is more complex than most drugs, whether due to the way it needs to be stored or administered, the seriousness of the condition it is used to treat, or other factors. You can only get Nucala from a specialty pharmacy. <\/span><a href=\"https:\/\/www.gskforyou.com\/gsk-pricing-information\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">According to GSK<\/span><\/a><span style=\"font-weight: 400;\">, the drug\u2019s manufacturer, the list price for one dose of Nucala is $3,688.83. But, the list price is the wholesale price charged to pharmacies, not to patients. If prescribed Nucala without insurance, you will likely pay the list price plus an additional amount charged by the specialty pharmacy dispensing it. Each injection contains 100 mg\/mL of reconstituted solution and lasts for 30 days. Over an entire year, someone paying completely out of pocket could pay as much as $44,266. Biologic drugs like Nucala cost a lot to research and develop, and their prices often reflect that.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But not everyone has to pay that much. One of the most reliable ways to save money on prescription drugs is through insurance or Medicare coverage. Not every plan will cover Nucala, but some will. Medicare Part D plans, for example, <\/span><a href=\"https:\/\/data.cms.gov\/summary-statistics-on-use-and-payments\/medicare-medicaid-spending-by-drug\/medicare-part-d-spending-by-drug\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">spent a cumulative $193 million in 2022<\/span><\/a><span style=\"font-weight: 400;\"> covering it for beneficiaries, up from around $132 million in 2021. Some private insurance plans may provide coverage as well, so it\u2019s worth checking your plan\u2019s formulary or contacting the insurance company.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This coverage might also depend on how it\u2019s administered. For example, \u201cMedicare Part B can sometimes cover drugs like Nucala when administered in a healthcare provider\u2019s office, under the Durable Medical Equipment category, although it generally falls under Part D when prescribed for home use,\u201d said <\/span><a href=\"https:\/\/www.linkedin.com\/in\/sazan-sylejmani-a6ba1080\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Sazan Sylejmani, Pharm.D.<\/span><\/a><span style=\"font-weight: 400;\">, a pharmacist in Westmont, Illinois. So, if you plan on using an autoinjector or prefilled syringe at home, the coverage would need to come from a prescription drug plan, from Medicare or otherwise.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even when it\u2019s covered, the patient might need to pick up the tab on copays, coinsurance, or other out-of-pocket expenses. Certain health insurance companies and plans might also require prior authorization. According to Michael O. McKinney, MD, a primary care physician at <\/span><a href=\"https:\/\/www.healthyoutlookjax.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Healthy Outlook<\/span><\/a><span style=\"font-weight: 400;\">, \u201cOften there are certain criteria like showing evidence of severe persistent asthma despite the use of standard treatments of eosinophilic asthma that patients must satisfy before being covered.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But those aren\u2019t the only price-influencing factors. \u201cPrices can vary due to different pharmacy purchasing costs, regional pricing strategies, and the competitive landscape in specific areas,\u201d Dr. Sylejmani said.<\/span><\/p>\n<h2 id=\"can-i-get-nucala-for-free\"><span style=\"font-weight: 400;\">Can I get Nucala for free?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Even better than saving on Nucala is getting it for free\u2014and it\u2019s possible for people who meet certain eligibility requirements. GSK has a patient assistance program called <\/span><a href=\"https:\/\/www.gskforyou.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">GSKForYou<\/span><\/a><span style=\"font-weight: 400;\">, which provides medications (including Nucala) at no cost to qualifying applicants. Whether you have no insurance or your plan doesn\u2019t cover Nucala, you\u2019re eligible for enrollment if you\u2019re below a certain income threshold.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That threshold varies based on the number of people in your household and which state you live in. For the 48 contiguous states, the District of Columbia, and the U.S. Virgin Islands, here are the <\/span><a href=\"https:\/\/www.gskforyou.com\/programs\/prescription-medicine-patient-assistance\/assistance-program\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">income limits<\/span><\/a><span style=\"font-weight: 400;\"> per month:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">One-person household: $6,275.00<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Two-person household: $8,516.67<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Three-person household: $10,758.33<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Four-person household: $13,000.00<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">*For each additional person, add $2,241.67.<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">On top of that, the patient can\u2019t be receiving assistance from any government assistance programs like Medicaid, the VA, or TriCare.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You might also get one dose of Nucala for free if your insurance plan requires prior authorization. GSK has a program called <\/span><a href=\"https:\/\/www.nucala.com\/severe-asthma\/savings-and-support\/insurance-info-gateway-to-nucala\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Gateway to Nucala<\/span><\/a><span style=\"font-weight: 400;\"> that offers the first Nucala injection at no cost if the patient\u2019s prior authorization process takes longer than five days.<\/span><\/p>\n<h2 id=\"how-to-save-money-on-nucala\"><span style=\"font-weight: 400;\">How to save money on Nucala<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Those aren\u2019t the only ways to reduce the cost of Nucala, though. Here\u2019s additional information on a few other reliable options.<\/span><\/p>\n<h3 id=\"1-nucala-copay-program\"><span style=\"font-weight: 400;\">1. Nucala copay program<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cNucala\u2019s manufacturer offers a savings card that can help eligible patients reduce their out-of-pocket costs, something we assist with regularly at our pharmacy,\u201d Dr. Sylejmani said. <\/span><a href=\"https:\/\/www.nucala.com\/severe-asthma\/savings-and-support\/co-pay-program\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">This copay program<\/span><\/a><span style=\"font-weight: 400;\"> is for patients who have a private health insurance plan that covers some (but not all) of their Nucala costs. The maximum amount it will cover is $9,450 for the year or $15,000 for people who have a high-deductible health plan. To qualify, you must be based in the United States and ineligible for any government-funded prescription assistance programs, including Medicare Part B, Medicare Part D, and Medicaid.<\/span><\/p>\n<h3 id=\"2-ask-for-a-90-day-supply\"><span style=\"font-weight: 400;\">2. Ask for a 90-day supply<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Buying anything in bulk is usually more cost-effective than buying a little at a time, and prescription drugs are no exception. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4006393\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Some studies have shown<\/span><\/a><span style=\"font-weight: 400;\"> that patients who got 90-day supplies saved more on average than those who got 30-day supplies. Plus, these prescriptions only require a copay every three months instead of every month.<\/span><\/p>\n<h3 id=\"3-consult-your-healthcare-provider\"><span style=\"font-weight: 400;\">3. Consult your healthcare provider<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Your healthcare provider not only knows the ins and outs of your medical condition, but they also know a lot about drug alternatives and ways to save. Don\u2019t be shy about asking them how to get Nucala, or a similar drug, for cheaper. They might have tips on assistance programs, affordable pharmacies, and other ways to cover your out-of-pocket costs.<\/span><\/p>\n<h3 id=\"4-research-other-assistance-programs\"><span style=\"font-weight: 400;\">4. Research other assistance programs<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">GSKForYou is a great resource for most, but it\u2019s not the only patient assistance program out there. There are also government and nonprofit sources. For Medicare beneficiaries who meet the eligibility requirements, <\/span><a href=\"https:\/\/www.medicare.gov\/basics\/costs\/help\/drug-costs\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Medicare Extra Help<\/span><\/a><span style=\"font-weight: 400;\"> can help cover Part D expenses. Each state also has its own<\/span> <a href=\"https:\/\/www.medicaid.gov\/medicaid\/prescription-drugs\/state-prescription-drug-resources\/index.html\"><span style=\"font-weight: 400;\">pharmaceutical assistance programs<\/span><\/a><span style=\"font-weight: 400;\">, and the<\/span> <a href=\"https:\/\/copays.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Patient Advocate Foundation\u2019s Co-Pay Relief program<\/span><\/a><span style=\"font-weight: 400;\"> can be a solid resource for people with private insurance plans.<\/span><\/p>\n<h3 id=\"5-shop-around\"><span style=\"font-weight: 400;\">5. Shop around<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Medications are products, and just like any other product, they\u2019re sold for different prices at different pharmacies. Even pharmacies in the same vicinity can <\/span><span style=\"font-weight: 400;\">charge significantly different amounts<\/span><span style=\"font-weight: 400;\"> for prescription drugs like Nucala. Price shopping for medications within a small geographic area can yield considerable cost savings.<\/span><\/p>\n<h2 id=\"is-there-a-cheaper-alternative-to-nucala\"><span style=\"font-weight: 400;\">Is there a cheaper alternative to Nucala?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">For biologic drugs like Nucala, the most common cheaper alternatives are biosimilars. These are like the generic version of biologics\u2014almost identical and<\/span> <a href=\"https:\/\/www.fda.gov\/drugs\/biosimilars\/biosimilars-basics-patients\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">FDA-approved for the same conditions<\/span><\/a><span style=\"font-weight: 400;\">. But as a newer drug, Nucala doesn\u2019t have a biosimilar counterpart yet, so what\u2019s the next best option?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are a few other treatments available. \u201cHowever, each of these substitutions has its mode of action distinct from the others and could fit different groups of patients,\u201d Dr. McKinney said. \u201cThe choice of another treatment option should depend on individual patient features, preferences, and aims of therapy, so patients must communicate their challenges with care providers.\u201d\u00a0<\/span><\/p>\n<h3 id=\"other-biologics\"><span style=\"font-weight: 400;\">Other biologics<\/span><\/h3>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9643621\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Studies have concluded<\/span><\/a><span style=\"font-weight: 400;\"> that <\/span><span style=\"font-weight: 400;\">Fasenra<\/span><span style=\"font-weight: 400;\"> (benralizumab) and <\/span><span style=\"font-weight: 400;\">Dupixent<\/span><span style=\"font-weight: 400;\"> (dupilumab) have efficacy and safety similar to Nucala. <\/span><span style=\"font-weight: 400;\">Cinqair<\/span><span style=\"font-weight: 400;\"> (reslizumab) and <\/span><span style=\"font-weight: 400;\">Xolair<\/span><span style=\"font-weight: 400;\"> (omalizumab) are other popular substitutes, but all of these are also biologic drugs, so they might not be any less expensive.<\/span><\/p>\n<p><b> <\/b><b>Nucala vs. Dupixent <\/b><b><span style=\"font-weight: 400;\">\u2502<\/span><\/b><b><a href=\"https:\/\/www.singlecare.com\/blog\/fasenra-vs-nucala\/\">Fasenra vs. Nucala<\/b><\/a><\/p>\n<h3 id=\"corticosteroids\"><span style=\"font-weight: 400;\">Corticosteroids<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The most prominent nonbiologic alternatives to Nucala are inhaled corticosteroids, which help decrease inflammation, allowing the patient to breathe normally. Plus, they\u2019re often a lot cheaper.<\/span><span style=\"font-weight: 400;\"> Flovent<\/span> <span style=\"font-weight: 400;\">(fluticasone propionate HFA), for example, costs an average of $447.60 for a one-month supply, and a<\/span> <span style=\"font-weight: 400;\">Pulmicort Flexhaler<\/span><span style=\"font-weight: 400;\"> costs an average of $359.34.<\/span><\/p>\n<h3 id=\"leukotriene-modifiers\"><span style=\"font-weight: 400;\">Leukotriene modifiers<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Eosinophils usually work in conjunction with chemicals called leukotrienes, which can also cause airway swelling. Leukotriene modifiers like <\/span><span style=\"font-weight: 400;\">Singulair<\/span><span style=\"font-weight: 400;\"> and Accolate alter the actions of these chemicals, reducing their effects. Singulair costs around $334.49 per month on average.<\/span><\/p>\n<h3 id=\"rescue-inhalers\"><span style=\"font-weight: 400;\">Rescue inhalers<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Healthcare professionals also often recommend that individuals with eosinophilic asthma also have a fast-acting rescue inhaler. During sudden asthma attacks, these medications can quickly open the airway, letting the patient breathe. Rescue inhalers aren\u2019t standalone treatments, though. They\u2019re a just-in-case medication you can use alongside a corticosteroid, biologic, or other drug.<\/span><\/p>\n<p><svg style=\"display:none\">\n  <g id=\"facebook\">\n    <rect width=\"32\" height=\"32\" rx=\"4\" fill=\"var(--social-bg)\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M19.51 9.32003H21.39V6.14003C20.4798 6.04538 19.5652 5.99865 18.65 6.00003C15.93 6.00003 14.07 7.66003 14.07 10.7V13.32H11V16.88H14.07V26H17.75V16.88H20.81L21.27 13.32H17.75V11.05C17.75 10 18.03 9.32003 19.51 9.32003Z\"\/>\n  <\/g>\n  <g id=\"twitter\">\n    <rect width=\"32\" height=\"32\" rx=\"4\" fill=\"var(--social-bg)\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M26 9.9506C25.2483 10.2767 24.4534 10.4923 23.64 10.5906C24.4982 10.0779 25.1413 9.27138 25.45 8.3206C24.6436 8.80066 23.7608 9.1389 22.84 9.3206C22.2245 8.65317 21.405 8.2089 20.5098 8.05745C19.6147 7.90601 18.6945 8.05596 17.8938 8.48379C17.093 8.91162 16.4569 9.59313 16.0852 10.4214C15.7135 11.2497 15.6273 12.178 15.84 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